Laserfiche WebLink
Oct 25 11 02'31p Washington Water Heaters 4257461563 P•� <br /> PERMIT APPLICATION <br /> CITY OF EVERE'IT PERNiIT SERVICES <br /> 3200 CEDAR STREET, EVEREIT, WA 982D1 <br /> 425-257-8610—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PLI ��-..a 6 —I� ' <br /> SITE ADORESS � - � PARCEL TAX I.D.t£ , P MIT:i <br /> ?3 z�( Lo�v���.��1 �Y� v-� C� v � � �! `l3U I �Oc i/l� I I c� -o� <br /> LEGA IOTND. BLOCK 7RACTOHSUBDIViSIONq . <br /> oesc. <br /> OWNER ADDRESS � CIN21P , PHONE C�ZGT— <br /> T�� �u f�f��ccr�► cfiuEc% z3z.�-1 Z�r��l��d�� ��+��/�s�; z5�z-�z.� <br /> �.R;ry ONTACTF APERMIT� PHONE ((b�y7�� 5� <br /> L�,�,��,.�}- �, /'Jucaf/'� J <br /> �1 G1 S/Zti- �G�'I/L S�L'�,/p �u' � G���its e-ti+w�{70flUQ,'�C�'� OZL� It�l <br /> F WftSN'INGI� �l /l�lG/�-�'7��ADD ��j 'CytCv" $p��'v �r PHONE ��.�_ 'Q;� <br /> $u-1�C f} K �J�g <br /> ����;;��N5%��- 9s� o P ��re vu� �a. 9r�a5 <br /> USE OF BUILDIN:a � HEAT SOURCE I CONTRACT PRICE OF WORK <br /> _ _� � I -- — <br /> i� � Electric _Gas Other <br /> .II � I t <br /> WORK DESCRIPTION <br /> C, �1�-� � d��' � �C�f�G f,►JGl:�2'� � U��--� <br /> �`— PLUMBINC MECHANICAL <br /> NQ TVPE OF Fl7CTURE Ofl ITEM ND. TYPE OF FlXTUflE OR ITEM <br /> Toilet A/C-airhandling units <br /> Bathtub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower � Waterheater <br /> Kitchen sink&disposal _ Gas firepiaco <br /> Cishwasher Gas range <br /> Cbtheswasher _ Clothosdryer <br /> � Waler hoalor Range hood <br /> Sink(servicelbar/mopletcJ _ Exhaust tan <br /> �ackllow preventer _ Heat pump <br /> Urinal Unit heaier <br /> - Drinking Founlain _ Boiler <br /> Floor drain Reirigeratlon <br /> Groase trap _ Woodstove <br /> Roof drains Other <br /> Olher <br /> CfTY OF EVEREff LOCAL SALES TAY.COOE lS 3105 � <br /> I hereby ceritify that I have read and examined this applicaUan and know the same to be true and correcl. AII provisions ot laws and <br /> ordinaces governing this type of work wili be complied wilh�vhether specified herein or noL The grairiing of a permit does rwt presume <br /> [o give authority to violato or pncol the provislon ot any othnr slato or loql law regulatinB consWction or the performanc¢o( <br /> con.,ir lion.That 1 am aWhonzed by ihe ownerof thi property to pedorm the work forwhich applicaUon is made and I comply�vith the <br /> �falc Co tractors Law 182 FCW a d 296206 W <br /> _ ' ����. �1Li.cL �(,�. z j=� <br /> Sic�natUre ol OwnedContractor Avthonzed AgeM ate � <br /> �1G,g.Q [.l�-e- � III�D (�(l�( �' C�cr't�1t�CCl'C1���tl� �-��iVt.l,� � CO"►'�� <br /> -mc��.���r�.�. <br /> , . <br />